<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">
        
        <div class="layui-form-item">
            <label class="layui-form-label">用户id</label>
            <div class="layui-input-block">
                <input type="text" name="uid" class="layui-input" lay-verify="required" placeholder="请输入用户id" value="{$row.uid|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">银行卡号</label>
            <div class="layui-input-block">
                <input type="text" name="credit_card_numbers" class="layui-input" lay-verify="required" placeholder="请输入银行卡号" value="{$row.credit_card_numbers|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">身份证</label>
            <div class="layui-input-block">
                <input type="text" name="identity_card" class="layui-input" lay-verify="required" placeholder="请输入身份证" value="{$row.identity_card|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">手机号</label>
            <div class="layui-input-block">
                <input type="text" name="phone" class="layui-input" lay-verify="required" placeholder="请输入手机号" value="{$row.phone|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">用户真实姓名</label>
            <div class="layui-input-block">
                <input type="text" name="name" class="layui-input" lay-verify="required" placeholder="请输入用户真实姓名" value="{$row.name|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">银行公司</label>
            <div class="layui-input-block">
                <input type="text" name="bank_company" class="layui-input" lay-verify="required" placeholder="请输入银行公司" value="{$row.bank_company|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">银行卡名称</label>
            <div class="layui-input-block">
                <input type="text" name="bank_name" class="layui-input" lay-verify="required" placeholder="请输入银行卡名称" value="{$row.bank_name|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">银行卡类型</label>
            <div class="layui-input-block">
                <input type="text" name="bank_type" class="layui-input" lay-verify="required" placeholder="请输入银行卡类型" value="{$row.bank_type|default=''}">
            </div>
        </div>
        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>

    </form>
</div>